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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2025, Vol. 30 ›› Issue (4): 570-576.doi: 10.12092/j.issn.1009-2501.2025.04.016

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Research progress on pharmacokinetic interactions of sodium-glucose co-transporter 2 inhibitors

DENG Yanru1,2, CAO Gexi1,2, LI Ying2, LI Yajing2, DONG Zhanjun2   

  1. 1Hebei Medical University College of Pharmacy, Shijiazhuang 050017, Hebei, China; 2Hebei General Hospital, Shijiazhuang 050051, Hebei, China
  • Received:2024-03-21 Revised:2024-06-12 Online:2025-04-26 Published:2025-04-09

Abstract:

Sodium-glucose co-transporter 2 (SGLT2) inhibitors are a new class of oral hypoglycemic drugs with definite hypoglycemic effects, low risk of hypoglycemia, cardiovascular protection, and kidney benefits. In recent years, SGLT2 inhibitors have been widely used in clinical practice, and their interactions with other drugs have gradually attracted attention. The SGLT2 inhibitors commonly used in China's clinic include canagliflozin, dapagliflozin, empagliflozin, ertugliflozin and henagliflozin currently, they are mainly metabolized by the phase Ⅱ metabolic enzyme uridine diphosphate glucuronosyltransferase (UGT), and various transporters are involved in the disposal of SGLT2 inhibitors in vivo. This article reviews the pharmacokinetic characteristics of different SGLT2 inhibitors mentioned above, as well as their pharmacokinetic interaction studies with various drugs such as statins, antineoplastic drugs, antimicrobials, nonsteroidal anti-inflammatory drugs and traditional Chinese medicine, in order to promote the safe and rational use of SGLT2 inhibitors in clinical practice.

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